A Novel Simple Technique for Performing Anatomical Right Posterior Sectionectomy of the Liver: the Ultrasound-Guided Finger Compression
试验速览
- 阶段
- 不适用
- 入组人数
- 10
- 试验地点
- 1
- 主要终点
- The primary outcome is the safety of the anatomical right posterior sectionectomy performed IOUS-guided finger compression.
研究概览
简要总结
The use of intraoperative ultrasound (IOUS) allows us to perform new conservative hepatectomies. The investigators previously reported the systematic subsegmentectomy by IOUS-guided finger compression for segments 2-3, which is currently applied for patients with hepatocellular carcinoma (HCC)on cirrhosis. The investigators herein describe a novel technique, which consists in the systematic right posterior sectionectomy by IOUS-guided finger compression.
详细描述
A novel technique for the demarcation of the resection area by means of IOUS-guided finger compression to accomplish a right posterior sectionectomy is described. Dissection or encirclement of the sectional pedicles for resection area demarcation is thus avoided. Ten patients underwent this technique successfully without mortality or major morbidity. IOUS-guided finger compression of sectional portal pedicle feeding the right posterior section is a feasible, safe, and effective method.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with tumors at least at 1 cm distally to the bifurcation of the right portal vein (bifurcation of P5-8 and P6-7) eligible for right posterior sectionectomy, namely the anatomical removal of segment 6 and 7, were considered potential candidates to this procedure. Precisely, these criteria were adopted:
- •Patients with hepatocellular carcinoma (HCC) with infiltrative growing pattern in contact with P6-7;
- •Patients with any type of HCC in contact with P6-7 with distal bile duct dilation;
- •Patients with colorectal liver metastasis (CLM) in contact with P6-7.
排除标准
- •Exclusion criteria for carrying out the herein described procedure was considered the presence of tumoral thrombosis in P6-7.
结局指标
主要结局
The primary outcome is the safety of the anatomical right posterior sectionectomy performed IOUS-guided finger compression.
时间窗: 6 months
次要结局
- The secondary outcome is the efficacy of the anatomical right posterior sectionectomy performed by IOUS-guided finger compression.(1 year)